Community
Relations
Application
to use In-House
IN-HOUSE
FACILITY USE REQUEST
Facility Requested__________________________Event__________________________
Date of Event______________________Date Of Request_________________________
Time Of Event_____________________Day Of Event___________________________
Contact Person_____________________Home Phone____________________________
Work Extension__________Additional Information______________________________
________________________________________________________________________
Equipment Needs_________________________________________________________
________________________________ _____________________________________
Principal’s Signature Facility Supervisor Signature
Notes:__________________________________________________________________
________________________________________________________________________